Zach Seim » Miscellaneous

Jun 15 2022 by Zach Seim

Optical Coherence Tomography (OCT) of a 69 year old male with Vitreomacular Traction affecting his right eye. Patient was referred to this office for Choroidal Melanoma in his right eye in May 2021. The patient was treated with Brachytherapy in July 2021 and this OCT was taken at a follow-up appointment in May 2022. Patient's vision was 20/30-2 at the time this OCT was taken. Patient states that his vision was better since his last visit, and that he sees floaters occasionally.

Photographer: Zach Seim

Imaging device: Heidelberg Spectralis

Condition/keywords: heidelberg spectralis, OD, optical coherence tomography (OCT), right eye, subretinal fluid, vitreomacular adhesion, vitreomacular interface disorders, vitreomacular traction (VMT)

Sep 21 2022 by Zach Seim

Ultra-widefield fundus photo of a 74 year old male presenting with severe vision loss beginning at age 55. Patient sought a second opinion with our office and was diagnosed with Choroideremia. Patient denies hearing loss, heart problems, balance issues, polydactyly, kidney problems, and dental problems. Patient reports that nobody in the family had blindness. Choroideremia is an X-linked chorioretinal dystrophy characterized by the diffuse, progressive degeneration of the retinal pigment epithelium (RPE), photoreceptors and choriocapillaris. It is caused by a mutation in the CHM gene.

Photographer: Zach Seim

Imaging device: Optos California

Condition/keywords: choroideremia, hereditary choroidal atrophy, hereditary retinal dystrophy, Optos, pseudocolor, ultra-wide field imaging

Sep 21 2022 by Zach Seim

Ultra-widefield fundus photo of a 74 year old male presenting with severe vision loss beginning at age 55. Patient sought a second opinion with our office and was diagnosed with Choroideremia. Patient denies hearing loss, heart problems, balance issues, polydactyly, kidney problems, and dental problems. Patient reports that nobody in the family had blindness. Choroideremia is an X-linked chorioretinal dystrophy characterized by the diffuse, progressive degeneration of the retinal pigment epithelium (RPE), photoreceptors and choriocapillaris. It is caused by a mutation in the CHM gene.

Photographer: Zach Seim

Imaging device: Optos California

Condition/keywords: choroideremia, hereditary choroidal atrophy, hereditary retinal dystrophy, left eye, light perception, low vision, Optos, pseudocolor, ultra-wide field imaging

Sep 21 2022 by Zach Seim

Ultra-widefield fundus photograph of an 81 year old female with a Methotrexate bubble following an Intravitreal Injection for Proliferative Vitreoretinopathy. Patient has been presenting to the office for two week interval Methotrexate injections in her left eye. The image was taken prior to her eighth injection which revealed a residual Methotrexate bubble in her inferior retinal image. This patient was seeing "lots" of floaters, as well as having visual acuity of cc20/400 cc20/200 PH.

Photographer: Zach Seim

Imaging device: OPTOS California

Condition/keywords: bubble, fundus photograph, fundus photography, intravitreal injection, left eye, methotrexate, nasal retina, Optos, proliferative vitreoretinopathy (PVR), pseudocolor, retinal detachment, ultra-wide field imaging

Feb 22 2023 by Zach Seim

An external image of a 25 year old male with Iris Coloboma, as well as Fundus Coloboma affecting both eyes. Patient's vision at the time of the image was 20/80. Discussed genetic testing as patient reports that he has a child with coloboma and patient agrees. There is a possibility of this finding being syndromic given cornea has small WTW and possibly microphthalmia. Recommended observation without treatment.

Photographer: Zach Seim

Imaging device: Topcon 50DX

Condition/keywords: coloboma, iris, left eye, Topcon

Feb 22 2023 by Zach Seim

An ultra-widefield fundus image of a 25 year old male with Fundus Coloboma, as well as Iris Coloboma affecting both eyes. Patient's vision at the time of the image was 20/100-2. Discussed genetic testing as patient reports that he has a child with coloboma and patient agrees. There is a possibility of this finding being syndromic given cornea has small WTW and possibly microphthalmia. The patient has old tractional exudation at edge (abutting fovea). Recommended observation without treatment.

Photographer: Zach Seim

Imaging device: Optos California

Condition/keywords: coloboma, coloboma of optic disc, fundus photograph, Optos, scanning laser ophthalmoscope, ultra-wide field imaging